Doctor profile · Federal record
Dr. Lisa Tannenbaum, PA-C
Physician Assistant · Farmingville, NY
- NPI 1114578507
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
100 Granny RD Unit 2
Farmingville, NY 117382879
(631) 696-4357 - Mailing address
-
8330 Kew Gardens RD Apt 4K
Kew Gardens, NY 114151923
Credentials & registration
- NPI registered
- September 2019 — 7 yrs on file
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #1164958
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1114578507. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Orexo US, INC. | 1 | $15.58 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
49
Patients
24
Total drug cost
$7,561
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) | Brand | 49 | 24 | $7,561 |
Frequently asked questions
What is Dr. Lisa Tannenbaum's medical specialty?
Dr. Lisa Tannenbaum practices Physician Assistant in Farmingville, NY.
Where does Dr. Lisa Tannenbaum practice?
Dr. Lisa Tannenbaum practices at 100 Granny RD Unit 2, Farmingville, NY 117382879. Office phone: 6316964357.
What is Dr. Lisa Tannenbaum's NPI?
Dr. Lisa Tannenbaum's National Provider Identifier (NPI) is 1114578507, issued by NPPES.